PDF herunterladen
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(02): 271-273
DOI: 10.1055/s-0042-1760284
Case Report

Rare Intra-Aortic Migration of Temporary Epicardial Pacing Wire

Arun Sharma 
1   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Shivali Arya
1   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Sachin Mahajan
2   Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Vidur Bansal
2   Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Manphool Singhal
1   Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
› Institutsangaben Funding None.
› Weitere Informationen
   Lizenzen und Reprints

Abstract

Temporary epicardial pacing wires are used routinely in the postoperative period to prevent brady-arrythmias and maintain hemodynamic condition. Their safety and efficacy have been widely accepted with a low incidence of complications. Complications associated with temporary epicardial pacing wires may occur during removal or may be related to retained wires. Migration is one of the well-established but rare complications of retained epicardial pacing wire. Though migrations to various organs have been well documented in the literature, there are only few reports on intra-aortic migration of pacing wires in the postoperative period. Further, it is important for radiologists to know and identify these epicardial pacing wires as they may be associated with complications like superadded infection, migration to surrounding or distant areas, and injury to the heart and vessels.

Keywords

temporary epicardial pacing wires - intra-aortic migration - pacing wire - CT angiography


Publikationsverlauf

Artikel online veröffentlicht:
13. Januar 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Reade MC. Temporary epicardial pacing after cardiac surgery: a practical review: part 1: general considerations in the management of epicardial pacing. Anaesthesia 2007; 62 (03) 264-271
    CrossrefPubMedGoogle Scholar
  • 2 Abd Elaziz ME, Allama AM. Temporary epicardial pacing after valve replacement: incidence and predictors. Heart Surg Forum 2018; 21 (01) E049-E053
    CrossrefPubMedGoogle Scholar
  • 3 Shaikhrezai K, Khorsandi M, Patronis M, Prasad S. Is it safe to cut pacing wires flush with the skin instead of removing them?. Interact Cardiovasc Thorac Surg 2012; 15 (06) 1047-1051
    CrossrefPubMedGoogle Scholar
  • 4 Cote CL, Baghaffar A, Tremblay P, Herman C. Incidence of tamponade following temporary epicardial pacing wire removal. J Card Surg 2020; 35 (06) 1247-1252
    CrossrefPubMedGoogle Scholar
  • 5 Smith III DE, DeAnda Jr A, Towe CW, Balsam LB. Retroaortic abscess: an unusual complication of a retained epicardial pacing wire. Interact Cardiovasc Thorac Surg 2013; 16 (02) 221-223
    CrossrefPubMedGoogle Scholar
  • 6 Bashir A, Mustafa HM, Gunning M, Crossley I, Levine A, Wells D. Retained temporary epicardial pacing wires: a rare cause of prosthetic valve endocarditis. J Coll Physicians Surg Pak 2013; 23 (09) 657-659
    PubMedGoogle Scholar
  • 7 Dyal HK, Sehgal R. The catastrophic journey of a retained temporary epicardial pacemaker wire leading to Enterococcus faecalis endocarditis and subsequent stroke. BMJ Case Rep 2015; 2015: bcr2014206215
    CrossrefPubMedGoogle Scholar
  • 8 Park S, Lee J, Byun YS, Jung IH, Chung E. Temporary epicardial pacing wire migration into the right heart, 10 months after coronary artery bypass surgery. Heart Surg Forum 2020; 23 (02) E168-E170
    CrossrefPubMedGoogle Scholar
  • 9 Mukaihara K, Yotsumoto G, Matsumoto K, Imoto Y. Migration of a retained temporary epicardial pacing wire into an abdominal aortic aneurysm. Eur J Cardiothorac Surg 2015; 48 (01) 169-170
    CrossrefPubMedGoogle Scholar
  • 10 Kondo T, Hirota M, Hoshino J, Takahashi Y, Notomi Y, Isomura T. Temporary epicardial pacing wire migrating to and exiting from the jaw. Ann Thorac Surg 2014; 98 (06) 2221-2223
    CrossrefPubMedGoogle Scholar
  • 11 Matwiyoff GN, McKinlay JR, Miller CH, Graham BS. Transepidermal migration of external cardiac pacing wire presenting as a cutaneous nodule. J Am Acad Dermatol 2000; 42 (5 Pt 2): 865-866
    CrossrefPubMedGoogle Scholar
  • 12 Gonzales S, White H, Echavarria J. Transcolonic migration of retained epicardial pacing wires. Case Rep Radiol 2015; 2015: 416587
    PubMedGoogle Scholar